Change of Address Ltr• a -W
CITY OF
CUPEkTINO
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City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: (408) 777-3228
FAX: (408) 777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: February 16, 2006
RE: Address Change (APN #326-30-056)
Please note the following address change: 20924 Hanford Drive's address is being
changed. The new address is 20922 Hanford Drive. Please update your records
accordingly.
The new address will take effect thirty days from the date of this letter. If you have any
questions, please call me at (408) 777-3246.
Sincerely,
Susan Winslow
Administrative clerk
Printed on Recycled Paper
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Annotation
Abc Street Names
CityBoundary
— Street Centerline
— Right -of -Way
Parcels
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City of Cupertino
FARGO
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RANFORD
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SCALE 1 :3,050
200 0 200 400 600
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http://demos.calcad.com/CupertinoAssessor/home/maps/CupertinoAssessor.mwf Wednesday, February 15, 2006 3:38 PM
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Community Development Department
City of Cupertino
10300 Torre Avenue
Telephone: (408) 777-3228
Fax: (408) 777-3333
CHANGE OF ADDRESS
REQUEST FORM
NAME (please print): C 6 N 2A D 7586
TELEPHONE NUMBER: C+ 0 �' - 3 &' _ I Z n
APN: 32�-30-0�6
-0 0
EXISTING ADDRESS:
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q .i lf'
M AIV Fo KD
NEW ADDRESS REQUESTED: 20
N6#7+'4 D2
CThe lar t. house of A -t- t
.t n r-(? -r I N 6. C/A 9 S" D, IL
r-t"hU Cq 9 -De L
Request for address change will be approved only if the change meets the following
criteria:
1. The change of address will not create confusion.
2. Only the LAST DIGIT will be considered.
3. The odd/even addressing system will be maintained.
4. The change of address will not result in a public safety hazard.
5. PROOF OF OWNERSHIP IS REQUIRED. (Ex. property tax bill)
The fee for a change of address request is $268.00. The fee is due with this
request form and will not be refunded if the request is denied.
The direct costs associated with an address change request will be borne by the
applicant. Approximate review time is fifteen (15) days. If the address change is
granted, the new address will be in effect thirty (30) days following approval.
Signature co.V-P/tD TSA o
wl F C-�' to YI R -,.r, 'ovn d
Revised 10/16/02
-�',�-—o6
Date
"{7" •' CITY OF CUPERTINO
'1 Si i•..y.�.1
110f'.-:TLY�+1 MISCELLANEOUS RECEIPT
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RECEIPT # ?;:: 33239
RECEIPT,DATE'::'02/15/2006
RECEIVED BY counter
RECD. FROM c CONRAD TSAO
USER 1
USER 2
PRINT DATE : 02/15/2006
PRINT TIME : 15:20i21
OPERATOR : counter.
COPY # c 2 -' '"—
CASH DRAWER: BSI
NOTES ADDRESS CHANGE APPLICATION FEE FOR 20924 HANFORD
FEE ID. ; ':i ; •F'� 1: AMOUNT THIS RCPT BALANCE
----- --------------
ZADDCHG.,~.. 268.00. 268...00 0.00
TOTeI'5:1. 268.00 268.00. 0.00
.: i ••G..
OD OF.'PAYMENT-_ AMOUNT___' NUMBER
--
--------------------------------------
C CK"a' -_ 268.00 1081
1 r• Y-: n
1 T. ' e _ .------------ �,
TOTAL,pSEIFLe-: ------268.00
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